0001135337-17-000005.txt : 20170103 0001135337-17-000005.hdr.sgml : 20170103 20170103163610 ACCESSION NUMBER: 0001135337-17-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170103 DATE AS OF CHANGE: 20170103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Guardion Health Sciences, Inc. CENTRAL INDEX KEY: 0001642375 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 474428421 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 BUSINESS PHONE: 858-605-9055 MAIL ADDRESS: STREET 1: 15150 AVENUE OF SCIENCE, SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92128 FORMER COMPANY: FORMER CONFORMED NAME: Guardion Health Sciences, LLC DATE OF NAME CHANGE: 20150513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Townsend John CENTRAL INDEX KEY: 0001511906 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55723 FILM NUMBER: 17502224 MAIL ADDRESS: STREET 1: 3020 CALLAN ROAD CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-12-31 0 0001642375 Guardion Health Sciences, Inc. none 0001511906 Townsend John 15150 AVENUE OF SCIENCE, SUITE 200 SAN DIEGO CA 92128 0 0 0 1 Controller Common Stock 2016-12-31 4 A 0 5000 0 A 5000 D Grant of restricted stock for services vesting 50% on June 30, 2017 and 50% on December 31, 2017. /s/ Vincent J. Roth, attorney-in-fact for John Townsend 2017-01-03